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STATE OF RHODE ISLAND BUSINESS REGULATIONDEPARTMENT OFDIVISION OF GAMING AND ATHLETICS LICENSING RHODE ISLAND SUPPLEMENTAL FORM TO THE MULTI JURISDICTIONAL PERSONAL HISTORY DISCLOSURE FORMRev 9/21Page
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Who needs multi-jurisdictional personal history form?

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Individuals applying for certain job positions that require background checks and personal history information.
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Applicants for licenses or permits that involve oversight from multiple jurisdictions.
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A multi-jurisdictional personal history form is a standardized document used to collect and report an individual's personal, professional, and financial history across multiple jurisdictions, often required for regulatory or licensing purposes.
Individuals applying for licenses or permits in specific regulated industries, such as finance, law, or healthcare, are typically required to file a multi-jurisdictional personal history form.
To fill out a multi-jurisdictional personal history form, you should provide accurate personal information, including identification details, educational background, employment history, and any relevant criminal or financial disclosures as specified in the form's instructions.
The purpose of the multi-jurisdictional personal history form is to ensure compliance with regulatory standards, assess the qualifications of applicants, and maintain public trust in industries that require oversight.
The form typically requires reporting personal identification details, employment history, educational qualifications, criminal history, financial disclosures, and any disciplinary actions taken in previous professional roles.
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